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J Pediatr Orthop B ; 24(5): 418-24, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26062006

RESUMO

Slipped capital femoral epiphysis (SCFE) is an orthopedic pathology in which damage of the growth plate leads to the anterosuperior displacement of the femoral body in respect to the femoral head. Despite being a widely studied disease, its etiology is still unknown. This study was carried out to determine the influence of the physeal-diaphysis angle, body mass, the presence of the perichondrial ring, the type of physical activity, and physeal thickness on SCFE. For this purpose, a finite element analysis of the hip joint and the femur-physis interface was carried out. With the computational model, the Von Mises stresses along the growth plate were calculated and subsequently analyzed statistically to find their correlation with the studied factors. It was found that body mass, the type of physical activity, and the presence of the perichondrial ring had more statistical relevance for the physeal stresses than the physeal-diaphysis angle and the physeal thickness. Thus, our work suggests that changes in growth plate inclination and thickness do not influence the etiology of SCFE.


Assuntos
Epífises , Cabeça do Fêmur , Lâmina de Crescimento , Escorregamento das Epífises Proximais do Fêmur/etiologia , Análise de Variância , Fenômenos Biomecânicos , Peso Corporal , Criança , Epífises/anatomia & histologia , Epífises/fisiologia , Cabeça do Fêmur/anatomia & histologia , Cabeça do Fêmur/fisiologia , Análise de Elementos Finitos , Lâmina de Crescimento/anatomia & histologia , Lâmina de Crescimento/fisiologia , Articulação do Quadril/anatomia & histologia , Articulação do Quadril/diagnóstico por imagem , Articulação do Quadril/fisiologia , Humanos , Masculino , Atividade Motora , Fatores de Risco , Tomografia Computadorizada por Raios X
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